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Bailey, Carl, Ana C. Hurd, and Tina Tanguay-Hill. "A longitudinal study of a family maintenance program." CSUSB ScholarWorks, 1993. https://scholarworks.lib.csusb.edu/etd-project/817.
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Crisanto, Jaime Antonio, and Russ Eldrige. "A constructivist study of the family preservation program in Riverside County, California." CSUSB ScholarWorks, 1995. https://scholarworks.lib.csusb.edu/etd-project/1080.
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Samady, Lila Massoumi. "Evaluation of the family nurturing program: The family education component of the Riverside County Dependency Recovery Drug Court Program." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2876.
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Klopfer, Loretta Marie. "A longitudinal study of a family maintenance program." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/797.
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Hall, Craig S. "Youth and Family Based In-Home Services Program in Tennessee: Factors for Success." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etd/2282.
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Intensive in-home services is a family-centered, strength-based intervention program offering comprehensive treatment that includes family therapy, mental health treatment and parenting skills for caregivers, development of positive social systems, and assistance with accessing community resources for long-term support (Youth Villages, 2013b). Framed on family system theory, Intensive-In Home Services (IIHS) was developed from Cognitive Behavioral Therapy, Functional Family Therapy, Social Development, and Crisis Intervention models as a means to modify behaviors that place youth at risk for out-of-home placement. The socio-historical development of these models is examined in the literature review.
Intensive in-home services is a family-centered, strength-based intervention program offering comprehensive treatment that includes family therapy, mental health treatment and parenting skills for caregivers, development of positive social systems, and assistance with accessing community resources for long-term support (Youth Villages, 2013b). Framed on family system theory, Intensive-In Home Services (IIHS) was developed from Cognitive Behavioral Therapy, Functional Family Therapy, Social Development, and Crisis Intervention models as a means to modify behaviors that place youth at risk for out-of-home placement. The socio-historical development of these models is examined in the literature review.
The purpose of this study was to evaluate predictors that may influence outcome measures of a youth’s inclination to remain in the home after having received IIHS treatment. The significant predictors were determined to be age, race, and total length of service received. The study sampled 3,131 youth ages birth through 17 who received IIHS services in Tennessee over a 10-year period and were discharged from July 2001 to July 2010. The study was limited to youth designated under Comprehensive Child and Family Treatment (CCFT), which is classified as part of TennCare coverage. The primary goal of CCFT is to empower families to monitor and manage mental health needs and high-risk youth behaviors in order to provide permanency and longterm stability in the natural home environment (UnitedHealthcare, 2012).
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Rush, Mary Catherine, Todd DO MSMS Leibowitz, Katherine DO Stone, Jodi PhD Polaha, and Leigh MD MPH Johnson. "Medical Scribes in a Family Medicine Residency Program: An Implementation Outcomes Study." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/129.
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The implementation of Electronic Health Records (EHR) has improved medical documentation in terms of accuracy, team communication, and ease of ordering tests and prescriptions; however, charting in an EHR strains the provider/patient relationship and contributes to physician burnout. Medical scribes are a promising potential solution to these problems. Our study aims to demonstrate that implementation of scribes into a medical residency program positively affects provider/patient satisfaction and improves quality and efficiency of EHR documentation. Our study evaluated the effectiveness and utility of scribes in a residency training program utilizing the established implementation framework “RE-AIM,” or Reach, Effectiveness, Adoption, Implementation (quality), and Maintenance. During the study’s initial “Training Phase,” 11 first and second-year Family Medicine residents conducted scribe-facilitated patient visits. Patient and provider satisfaction ratings were collected, note quality was evaluated, and time to note closure was measured. During the subsequent “Choice Phase,” residents were given the option of whether to utilize scribes, and the same data measures were collected. Resident satisfaction ratings during the Training Phase showed an average score of 6.03 (on a 1-7 scale where “7” = “strongly agree” with positive statements), and a pilot sample of 9 patients showed an average patient satisfaction rating of 4.77 (on a 1-5 scale where “5” = “strongly agree” with positive statements). Scribe-facilitated notes coded for quality had an average score of 3.375 (on a 1-5 scale where 5 is “extremely” high quality). Finally, residents’ average time to note closure was decreased by more than 8 hours in scribe-facilitated visits. During the Choice Phase, all 11 participating residents requested scribe-facilitated visits, again with very high patient satisfaction scores (4.67 on a 1-5 scale) as well as high clinician satisfaction scores (6.06 on a 1-7 scale). Choice Phase note quality and note-closure time are currently being assessed. These results demonstrate that scribes improve clinician and patient satisfaction, as well as quality and efficiency of EHR documentation. Limitations include a small sample size of clinicians and patients. Further research is needed with larger sample sizes to determine whether scribes in a medical residency program represent a sustainable and effective intervention.
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Holnbeck, Christy. "Implementation of a Program Planning and Review Model at Winnipeg Child and Family Services." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ53102.pdf.
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Kong, Yin-ying, and 江燕瑩. "Telenursing program for supporting family caregivers of stroke survivors: an evidence-based clinicalguideline." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44623525.
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Whitfield, Benjamin, Leigh D. M. D. Johnson, and Jodi Ph D. Polaha. "Costs and Benefits of Patient Home Visits in a Family Medicine Residency Program." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/136.
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Home visits are a required training component of many Family Medicine residency programs in the United States. However, they are becoming less popular due to such factors as increasing resident responsibilities, decreasing reimbursement, and a decline in resident intention to incorporate home visits into future practice. This study’s aims are: (1) to evaluate the current practices of one Family Medicine residency training program’s time and resource expenditure to conduct home visits, and (2) to evaluate resident and faculty experiences of home visits. Residents and faculty in a Family Medicine training program were provided with a 12- question survey immediately after completing a home visit. A total of 19 surveys from residents and faculty were collected and analyzed. Average reported time spent per home visit was 90 minutes (range = 50-180 minutes), and the home visit teams included an average of 4 members (range = 2-6 members). The providers felt that they knew their patients and the patients’ circumstances better after the home visit with a score of 4.1 (on a 1-5 scale with 5 being a positively framed statement). Resident opinions were neutral (average score 3.1 on a 1-5 scale) regarding whether they found home visits to be educational to their residency training in Family Medicine. Residents also had mixed feelings (average score 2.9) regarding whether they would perform more home visits during their residency training if given the opportunity. Most faculty members (5/7) indicated they had done home visits during their residency training and all faculty (7/7) felt that home visits added value to their training in Family Medicine. Finally, qualitative recommendations were collected from respondents which may allow this training program to improve home visits in the future. Overall, significant time is currently being spent conducting home visits, with a difference in perceived efficacy between residents and faculty. Future research may include a cost analysis to quantify financial value, as well as expanding data collection to other Family Medicine residency training programs to improve generalizability.
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Menzies, Peter, and de Sande Adje van. ""A formative evaluation of the Customary Care Program: Native Child and Family Services of Toronto"." School of Native Human Services, 2003. http://142.51.24.159/dspace/handle/10219/432.
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Across Canada, the percentage of First Nations children in care of child welfare authorities is estimated to be six times that of the general population (Royal Commission on Aboriginal Peoples, Volume 3: Gathering Strength, 1996). Research into the impact of removing children from their homes due to child welfare issues has contributed to our understanding of the significant negative consequences on both the child and family (Bowlby, 1982; Johnson, 1983; Olsen, 1982). Further studies into the impact of government policies on Native people have clearly demonstrated that Native children face additional trauma; not only is the child removed from their home, they are removed from their community and culture (Andres, 1981; Bagley, 1985; Hudson, 1981; Johnston, 1983; Richard, 1989).
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Hayduk, Nina. "Conflict resolution and family mediation in Ukraine, the development of a training program for the social services." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ62748.pdf.
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Mullins, Sarah. "A matter of respect : the mother-home visitor relationship in the Healthy Families America Program." Huntington, WV : [Marshall University Libraries], 2001. http://www.marshall.edu/etd/descript.asp?ref=82.
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Mayer, Jeremy. "With dads around, kids are sound : assessing the effects of a fathers' support program with military fathers." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84094.
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The goal of this study was to learn more about the experience of Canadian military fathers who participated in a fathers' support group entitled "With Dads Around, Kids Are Sound." An explorative, semi-structured, qualitative design was applied to gain understanding of the participants' perspectives. The sample consisted of seven military fathers. The researcher also interviewed three wives in an attempt to corroborate some of the findings. The two main reasons that brought fathers into the group were role conflict and wanting to prevent family problems. Based on comments received, the program was found to be effective in supporting military fathers. Key elements noted by participants include normalization, peer support, and learning ways to prevent dysfunctional family patterns. Recommendations to improve the program include making it a continuous opportunity---including a specific chapter on military lifestyle---and being more flexible with the content to allow for more peer support-type discussion. Implications for social work practice, policy, and research are also discussed.
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Edwards, Glenda R. "An internal formative evaluation of the child protection supervision program at Winnipeg Child and Family Services-Central Area." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq23294.pdf.
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Bitter, James. "Integrative Family Therapy and Counseling: Advanced Practices Across Multiple Theoretical Models (Week-long Training Program)." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/6112.
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Hunter-Moffett, Shaniece Anejo. "Participants' perceptions on the effectiveness of the "Parents in Partnership" program of Los Angeles County." CSUSB ScholarWorks, 2011. https://scholarworks.lib.csusb.edu/etd-project/3325.
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The purpose of this study was to examine participants' perceptions on the effectiveness of the "Parents in Partnership" program (PIP) of the Los Angeles County Department of Children and Family Services. Parents in Partnership (PIP) is a collaborative effort between the Department of Children and Family Services (DCFS) and parent partner paraprofessionals toward facilitation of safe reunification and permanency through education, support and mentoring of birth parents. The program's sole goal is the timely and safe reunification of children and their families. Face-to-face interviews were conducted with fourteen participants in the PIP program. Both mentors and mentees were interviewed.
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Fruehauf, Danielle Jeanice. "An Examination of Early Intervention Comprehensiveness and the Impact of Family Characteristics on Satisfaction Reports of Services." Miami University / OhioLINK, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=miami1051054775.
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Rector, Edna J. "Early Head Start : home visiting and parenting group program uptake : an implementation study /." Thesis, Connect to this title online; UW restricted, 2002. http://hdl.handle.net/1773/8132.
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Lovejoy, Kimberly Ann Rose. "Marriage moments : an evaluation of an approach to stregnthen couples' relationships during the transition to parenthood, in the context of a home visitation program /." Diss., CLICK HERE for online access, 2004. http://contentdm.lib.byu.edu/ETD/image/etd533.pdf.
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Mendenhall, Amy Naca. "Patterns and predictors of service utilization of children with mood disorders effects of a multi-family psychoeducation program /." Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1196271824.
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Pressley, Jana. "Program evaluation exploratory investigation of the problem of client attrition at Outreach Community Center /." Online full text .pdf document, available to Fuller patrons only, 2002. http://www.tren.com.
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Rowland, Marcy K. "Family-focused reintegration for youth on parole : evaluation of a state-wide program /." [Bloomington, Ind.] : Indiana University, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3274254.
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Thesis (Ph.D.)--Indiana University, Dept. of Counseling and Educational Psychology of the School of Education, 2007.Source: Dissertation Abstracts International, Volume: 68-07, Section: A, page: 2889. Adviser: Thomas L. Sexton. Title from dissertation home page (viewed Apr. 9, 2008).
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Woolfolk, Tara N. "A qualitative exploration of program satisfaction and fit among African-American mothers in the Parents as Teachers program one size does not fit all /." Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 194 p, 2006. http://proquest.umi.com/pqdweb?did=1216750841&sid=3&Fmt=2&clientId=8331&RQT=309&VName=PQD.
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Chambers, Floyd Allen. "A comparison of the effects of the Couple Communication II Program and a Family of Origin Workshop on marital satisfaction and individual autonomy." W&M ScholarWorks, 1986. https://scholarworks.wm.edu/etd/1539618287.
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The purpose of this study was to investigate whether either the Couple Communication II Program developed by Miller, Nunnally, and Wackman or a Family of Origin Workshop developed by the author when used following the Couple Communication I Programs would increase marital satisfaction and individual autonomy.;Thirty-four individuals (seventeen couples) responded to the announcements of a couple communication and marriage enrichment workshop. The couples were assigned to four groups: Group 1 was treated with the Couple Communication I Program only, Group 2 was treated with the Couple Communication I Program and Couple Communication II, Group 3 was treated with the Couple Communication I Program and a Family of Origin Workshop, and Group 4 was a no treatment control group.;All subjects were measured by a pretest, posttest and follow-up test using the Marital Satisfaction Inventory by Snyder and an autonomy scale developed by Kurtines for the California Psychological Inventory.;No significant correlation was found between autonomy and marital satisfaction scores. There were no significant differences found among or between the groups after treatment. There were no significant differences among or between the pretest, posttest, and follow-up scores. A scale on the Marital Satisfaction Inventory designed to measure subjects' tendency to distort the appraisal of their marriages in a socially desired direction was found to be a significant covariate of all Marital Satisfaction Inventory scales.;Further study is needed to evaluate the relationship between specific communication skills learned, as determined by behavioral measures, and specific areas of marital satisfaction, as assessed by self-report measures. Study is needed to evaluate conclusions of previous studies of relationship satisfaction that have not been controlled for the tendency of subjects to distort their appraisals.
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Lomeli, Esmeralda. "Perceptions of an emerging family drug court program among child welfare and family drug court professional in Riverside County." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2715.
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This study examined the perceptions of child welfare and family drug court professionals regarding the emerging family drug court program in Riverside County. The following were addressed: what are the strengths of the program, what are challenges or barriers in the program, how do others not involved in the program feel about the program, how the need for the program was recognized, and how child welfare professionals view the future of the program.
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Kovacs, Edith. "An exploration of social worker perception with respect to the Declaration of Commitment Program of Winnipeg Child and Family Services." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0007/MQ45075.pdf.
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Johns, Kimberly Ann, and Charil Dignadice Macaraeg. "Program evaluation of Cal-SAFE: A program for pregnant and parenting teens." CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2375.
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This program evaluated the effectiveness of the program interventions implemented during the 2002-2003 school year in the Riverside County Office of Education's Cal-SAFE pregnant and parenting minor program. Two researchers divided the twelve school sites, gathered data and formulated information to assess the effectiveness of the program on continuance or completion of high school after teen pregnancy.
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Spencer, Thelma. "The effect of an Adlerian-based group counseling/education program on the self concept, locus of control, and family environment of alternative high school students." W&M ScholarWorks, 1986. https://scholarworks.wm.edu/etd/1539618756.
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The purpose of this study was to determine the effect of a structured Adlerian-based group education program (PREP) on the self concept, locus of control, and family relationships of alternative high school students, with and without parent participation in a parent education group.;The sample consisted of students at Point Option Project, an alternative high school in Newport News, Virginia, who requested to take the PREP course for elective credit (n = 34). Students were assigned randomly to two treatment and one control group, with students whose parents were participating in the STEP-TEEN parent education program becoming PREP Group 1 and those students whose parents were not becoming PREP Group 2. Both treatment groups received identical information taught by the same instructor. The control group followed a regular class schedule. All classes met three times a week for approximately 50 minute periods. The Tennessee Self Concept Scale, the Nowicki-Strickland Locus of Control Scale for Children, and the Family Environment Scale were administered to all students as pretest-posttest measures. An analysis of covariance was conducted on the difference in pretest and posttest scores using the pretest score as the covariate.;The major findings of this study were: (1) Students in both treatment groups did not significantly (p < .05) improve their Total Positive score on the Tennessee Self Concept Scale. (2) No significant differences (p < .05) were found between the experimental and control groups on movement toward internality. (3) No significant differences (p < .05) were found in perceptions of family environment as a result of participation in the PREP program.
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Juberg, Sandra Jean. "An evaluation of the impact of the goals component on GAIN program participants." CSUSB ScholarWorks, 1995. https://scholarworks.lib.csusb.edu/etd-project/1083.
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Silvestrini, Mary, and Erika Rosa Volz. "Foster parent retention: A study of the Orange County Social Services Foster Care Program." CSUSB ScholarWorks, 1995. https://scholarworks.lib.csusb.edu/etd-project/1063.
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Austin, Denise Lynmarie. "Bringing Functional Family Probation Services to the Community: A Qualitative Case Study." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/1436.
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In March 2011, Multnomah County's Juvenile Services Division (JSD) in Portland, Oregon implemented a new program model called Functional Family Probation Services, a case management model based on the principles of Functional Family Therapy. Under this model JSD Juvenile Court Counselors deliver Functional Family Probation Services to medium and high-risk youth on probation; both to the youth and their family in their home. This qualitative case study examined the extent to which the Juvenile Court Counselors and Community Justice Managers implemented Functional Family Probation Service's components and recorded their opinions regarding Functional Family Probation Services as a case management model. The study included observations of consultation meetings and interviews of 17 Juvenile Court Counselors, Community Justice Managers, and Senior Managers. The primary results of the study revealed that the Functional Family Probation Services intervention is well received by the county's youth and families and that Functional Family Probation Services increases family functioning. Additionally, both observations and self-reports from the Juvenile Court Counselors and Community Justice Managers indicate that Functional Family Probation Services requires individual and organizational changes critical for its successful implementation and sustainability.
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Sherman, Thomas Peter. "Domestic violence and the Air Force family: Research into situational dynamics and evaluation of the Air Force Family Advocacy Program." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2506.
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The purpose of this study was to evaluate the Air Force Family Advocacy Program and examine the effects that situational dynamics have on recidivism. Although, the high volume of program participants and low recidivism rate demonstrated that the Family Advocacy Program is a valuable resource for treating families referred for spousal domestic violence.
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Green, Tekeela Shonta. "Relationships between the Coordinated School Health Program and Childhood Obesity in Tennessee." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/263.
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Childhood obesity rates have increased nationwide, but rates of childhood obesity are higher in Tennessee (TN). The Coordinated School Health (CSH) Program is a multicomponent approach designed to improve academics and health in children in Tennessee; however, researchers have not evaluated the 8 components of the plan and the impact it has on weight in children. The purpose of the study was to determine if a relationship existed between the Coordinated School Health Program and obesity in children. The conceptual framework for this study was Bandura's social cognitive theory. One hundred forty CSH coordinators in TN were surveyed and the results were analyzed using multiple regression to determine the relationship between the 8 components of the CSH program and obesity rates in children in TN. Nutrition service was the only component that was statistically significant. According to study results, many districts had been exposed to the coordinated school health program and had some components in place, but the program was not seen as a priority by school administration, which affected the successful implementation of the program. The findings from this research can be used to help school officials determine how to better integrate the components of the Coordinated School Health program into the existing curriculum, allot time and resources for implementation strategies, hire the appropriate staff, and/or determine which component needs more focus. Determining which component(s) should have more emphasis creates potential for social change by reducing obesity in children, which will likely reduce the chance of those children becoming obese adults.
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Castro, Leandro Bonfim de. "Tuberculose e saÃde da famÃlia em Fortaleza:acesso ao diagnÃstico e ao tratamento, aÃÃes de controle e grau de conhecimento dos profissionais de saÃde." Universidade Federal do CearÃ, 2012. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=8055.
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As aÃÃes de controle da tuberculose (TB) encontram-se no Ãmbito da AtenÃÃo PrimÃria à SaÃde e visam interromper a cadeia de transmissÃo e possÃveis adoecimentos na comunidade. O objetivo desse trabalho foi dimensionar o acesso ao diagnÃstico e ao tratamento da tuberculose, as aÃÃes de controle desenvolvidas pelas equipes da SaÃde da FamÃlia (SF) em Fortaleza e o grau de conhecimento dos profissionais de saÃde. Trata-se de um estudo transversal descritivo. Foram selecionados oito Centros de SaÃde da FamÃlia entre os que mais atenderam casos de tuberculose no primeiro trimestre de 2011. A populaÃÃo de estudo foi constituÃda de enfermeiros, mÃdicos, agentes comunitÃrios de saÃde (ACS) e usuÃrios portadores de TB em tratamento. Foram realizadas entrevistas com os usuÃrios e os profissionais enfermeiros e mÃdicos. Um questionÃrio de conhecimento acerca da transmissÃo, diagnÃstico, prevenÃÃo, tratamento e acompanhamento da tuberculose foi aplicado com ACS, enfermeiros e mÃdicos. Os profissionais de nÃvel superior eram formados por 31 enfermeiros e 17 mÃdicos, sendo 39 do sexo feminino. A idade mÃdia foi de 38,4 anos. A maioria (n= 135) dos ACS, 81,8%, possuÃa o ensino mÃdio completo. Trabalhar na funÃÃo hà trÃs anos ou mais foi significativo para participaÃÃo em treinamentos (p= 0,0001). O atendimento inicial do tratamento de TB foi conseguido em atà uma semana. A consulta de acompanhamento do mÃdico e do enfermeiro foi classificada, pelos doentes, como boa, clara e esclarecedora acerca da doenÃa, do tratamento, das medicaÃÃes e seus efeitos adversos. A oferta de vale transporte era irregular e nÃo havia cesta bÃsica. Houve discordÃncia das respostas dos usuÃrios e profissionais nas aÃÃes de exame e investigaÃÃo de contatos domiciliares. Entretanto, eles concordaram quanto à nÃo realizaÃÃo de busca ativa de sintomÃticos respiratÃrios e trabalhos educativos na comunidade. Enfermeiros, mÃdicos e ACS apresentaram proporÃÃo de acerto superior a 70% do questionÃrio acerca da tuberculose. NÃo houve diferenÃas estatisticamente significantes entre enfermeiros e mÃdicos no nÃmero total de acertos, por questÃo ou bloco temÃtico. Os ACS que atuavam hà trÃs anos ou mais apresentaram maior mÃdia de acertos (p= 0,0414). As fragilidades no controle da tuberculose na Ãrea das equipes estudadas envolvem as aÃÃes voltadas Ãs famÃlias e à comunidade, como a investigaÃÃo de contatos, trabalhos educativos na comunidade, busca de sintomÃticos respiratÃrios, prejudicando o acesso ao diagnÃstico precoce da doenÃa.Actions to control this disease lie within the Primary Care/ Family Health Program and aim to break the chain of transmission and possible illnesses in the community. The aim of this study was to measure the access to diagnosis and treatment of tuberculosis, the control measures developed by Family Health teams in Fortaleza and the degree of knowledge of health professionals. This was a cross-sectional study. Eight Family Health Centers that served more cases of tuberculosis in the first quarter of 2011 were selected. The study population consisted of nurses, physicians, community health worker and TB patients on treatment. Interviews were conducted with TB patients and nurses and doctors. Moreover, nurses, doctors and community health workers answered a survey of knowledge about transmission, diagnosis, prevention, treatment and monitoring of tuberculosis. High level professionals were composed of 31 nurses and 17 doctors. There were 39 women. Mean age was 38.4 years. The most (81.8%) of community health workers had completed high school. Working in the service for three years or more was significant for participation in trainings (p= 0,0001). The initial care of TB treatment was achieved within one week. The follow-up care by doctor or nurse was classified by patients as good, clear and informative about the disease, treatment, medications and their adverse effects. The provision of bus passes was irregular and there was no food aid. There were disagreement responses of users and professionals in the actions of examination and investigation of household contacts. However, they agreed not to perform an active search for respiratory symptoms and educational work in the community. Nurses, doctors and community health workers had ratio of greater than 70% correct answers in tuberculosis. There were no statistically significant differences between nurses and physicians in the total number of correct answers, per question or thematic group. The community health workers who had work up to three years or more had a higher average (p= 0,0414). The weaknesses in tuberculosis control in the teams studied area occurred in actions aimed to involve families and the community, such as research of contacts, educational work in the community, search for respiratory symptoms, hampering access to early diagnosis.
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Kaylor, Barbara J. "Child abuse has Healthy Start made a difference in Oregon? /." Related resources; Click on: Programs & Initiatives > Healthy Start, 2002. http://www.ccf.state.or.us/pageoccfsitemap.html.
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Gilbert, Nathalie. "Understanding the Process of Patient Engagement in Planning and Evaluation of Health Services: A Case Study of the Psychosocial Oncology Program at the Ottawa Hospital." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37893.
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The underlying philosophy of patient-centred care (PCC) advocates for patients to have an active role in all areas of their care, including broader areas of the health care system such as planning and evaluation. Despite efforts made in the past decade that would see greater patient engagement, conventional evaluation approaches continue to dominate the landscape in health services evaluation. To date, limited empirical research has examined the effects of patient engagement or the best approach to engage patients (Abelson et al., 2015; Baker, 2014; Baker, Judd, Fancott, & Maika, 2016). Furthermore, a relative lack of collaboration and shared knowledge exists between the evaluation community and health sector in the rapidly developing area of patient engagement and the development of best practices. Consequently, health organizations continue to struggle with how best to involve patients (i.e., process) in health service improvement initiatives, as well as learn from patient experience (Baker, 2014; Baker, Judd, et al., 2016; Luxford et al., 2011).
This dissertation responded to some of these challenges and through this intervention study, the specific purpose of the thesis study was to gain a better understanding of the process of patient engagement in planning and evaluation by addressing the following research questions:
1. What are the facilitators and barriers of engaging patients in planning and evaluation of health services and why?
2. What did the process of engagement look like with respect to Cousins and Whitmore’s (1998) three dimensions of collaborative inquiry?
3. What are the observed effects of the engagement process?
This longitudinal qualitative case study began with the creation of the Patient and Family Engagement Committee (PFEC) at the Ottawa Hospital Psychosocial Oncology Program (PSOP) and completed an evaluation project over a period of six months. The research study occurred in parallel with the evaluation project and was designed to gain a better understanding of the process of patient engagement and the role that evaluation plays in this context. The study consisted of three phases and data collection relied on multiple sources.
Facilitators that influenced the patient engagement process include: accommodating participant needs, commitment, orientation meeting, designated lead with evaluation skills, homework between meetings, and mutual respect. Having a designated lead, mutual respect, and commitment to the project were the three most highly endorsed facilitators at the end of the project. Conversely, barriers identified include time and resources, imbalanced participation, change in health status, and living at a distance. Time and resources was endorsed as the most significant barrier to the patient engagement process across all three phases of the study. Motivations for participant involvement revolved around giving back, improving health services, learning, commitment to research/evaluation, and providing or hearing a unique perspective. The study examined participatory aspects of the focal evaluation using Cousins and Whitmore’s (1998) three fundamental dimensions of process in collaborative approaches to evaluation: stakeholder diversity, control of evaluation process, and depth of participation. Findings revealed that intended benefits of participant involvement included reach to decision-makers, improved health services, increased diffusion of patient/family engagement, improved access/awareness of services, and a follow-up to assess influence of engagement. Participants’ experiences of being involved invoked enthusiasm for the project, were personally rewarding, instilled a sense of optimism that the project would have an influence, closed the loop on healing, contributed to a shift from a personal to broader health care focus, and contributed to learning.
Further research is needed to gain a better understanding of the processes involved or evaluation approaches that could contribute to translating patient engagement into improved outcomes. The findings of this study have enhanced understanding of key contributions that patients, family members, health professionals, and evaluators bring to the patient engagement process, and enriched understanding of key facilitators and barriers to ensure successful patient engagement.
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ThÃ, Marise Cristiane Rocha Lima. "O (des) caminho atà a porta: um estudo sobre o acesso à atenÃÃo bÃsica de saÃde em trÃs microÃreas de Fortaleza." Universidade Federal do CearÃ, 2014. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=12395.
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nÃo hÃEste estudo analisa o acesso da populaÃÃo aos serviÃos de atenÃÃo primÃria à saÃde em trÃs microÃreas de Fortaleza, CearÃ. Seus objetivos sÃo identificar componentes de acesso que influenciam na utilizaÃÃo dos serviÃos de atenÃÃo bÃsica pelos moradores de microÃreas da Secretaria Regional II de Fortaleza, conhecendo os motivos do nÃo-acesso aos serviÃos de saÃde da unidade saÃde do bairro, as barreiras que dificultam o acesso à essa mesma unidade e identificando as portas de entrada dessa populaÃÃo no sistema de saÃde. Trata-se de um estudo descritivo, de abordagem quantitativa e desenho transversal, realizado no ano de 2013. Foram entrevistadas 247 famÃlias. Foi feito um mapeamento utilizando um Sistema de InformaÃÃes GeogrÃficas (SIG), o ArcGisÂ, que permitiu a visualizaÃÃo dos serviÃos de saÃde bem como da sua relaÃÃo com as dificuldades e barreiras de acesso ora apontadas pelos sujeitos desta pesquisa. Os resultados mostram que 62,3% das famÃlias nÃo tem o posto do bairro como local de primeira procura em caso de necessidade de saÃde. A distÃncia e a facilidade de acesso a outro centro de saÃde foram os principais motivos para isso. A distÃncia (50,2%), o transporte (45,2%) e o desconhecimento sobre localizaÃÃo e funcionamento do posto (21,0%) foram as dificuldades mais frequentes. Esta pesquisa aponta a necessidade de um estudo participativo e mais criterioso do territÃrio de atuaÃÃo da equipe da EstratÃgia SaÃde da FamÃlia de modo a considerarem-se as diversas barreiras que interferem no acesso dessa populaÃÃo aos serviÃos de saÃde.
This study examines the accessibility to primary health care services of the population in areas of Fortaleza. Its objectives are to identify accessibility components that influence in the use of these services by the residents of these areas, exploring the reasons for non-accessibility to the health unit, the barriers that hinder the access and the ports of entry in the health care system. It is a descriptive study, quantitative and transversal, carried out in 2013. Were interviewed 247 families. A mapping using Geographic Information System (GIS) that allowed visualization of local health services as well as its relationship with the difficulties and barriers to access sometimes identified by the subjects of this research was done. The results showed 62.3% of these families didnât view the neighborhood unit as the place of first demand in case of need. The distance and the ease of accessibility to another health center were the main reasons for this. The distance (50.2 %), transportation (45.2 %) and the ignorance about the location and opening hours (21.0 %) were the most frequent difficulties. This research points to the need for a more thorough study of the territory of actuation of the team of the Family Health Program in order to considerer the various barriers that interfere with the accessibility of the population to health services.
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Hudson, Roshelle Darlene. "A descriptive study of the Dekalb county department of family and children services' educational program and academic performance of youth in foster care from 2009-2010." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2011. http://digitalcommons.auctr.edu/dissertations/238.
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This is a descriptive study of DeKaib County Department of Family and Children Services’ (DFCS) educational program and academic performance of foster children in their care. This study specifically examines the relationship between placement instability, school mobility, and interagency communication on the academic performance of these children as measured by their Grade Point Average (GPA). The results of the study suggest that there is a significant statistical relationship between school mobility and academic performance and interagency communication and academic performance based on a 0.05 level of probability between the variables. However, a statistically significant relationship between placement instability and academic performance was not found. This study and similar studies can assist DeKaib DFCS and other DFCS agencies in Georgia in developing effective programs that better target educational services for children entering foster care.
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Brace, Andrea Michelle. "Analysis of the effectiveness of the Circle of Care Program in increasing life outcomes among teen mothers in Troup County, Georgia." Master's thesis, Mississippi State : Mississippi State University, 2009. http://library.msstate.edu/etd/show.asp?etd=etd-03252009-094833.
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Grant, Sheila. "The barriers in custodial grandparenting." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1905.
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The quantitative study attempted to examine the barriers and challenges of grandparents raising grandchildren. The primary focus is to explore the problems and concerns to determine what are the specific needs of these redefined families. The researcher employed a questionnaire with some closed and open-ended questions, pertaining to the problems and concerns of custodial grandparents. Twenty-five grandparents in San Bernardino County were interviewed to obtain data regarding this issue. The findings of the study revealed that grandparents and grandchildren both are in need of internal and external resources to enhance, empower and support their inner ability to adjust and cope with their new and often traumatic family transitions.
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Santos, Luzia Aparecida dos. "Assistência em planejamento familiar em um programa de saúde da família no município de Ribeirão Preto - SP." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-01042009-114228/.
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O planejamento familiar é uma ação de saúde que permite a regulação da fecundidade, faz parte da Atenção Básica, atualmente vem sendo oferecido através do Programas de Saúde da Família é um direito reprodutivo. A qualidade da assistência em planejamento familiar é imprescindível para os índices de saúde reprodutiva e sexual, sendo a oferta, a livre escolha por métodos contraceptivos e a informação dada aos clientes são elementos fundamentais para garantir a qualidade dessa assistência. Este estudo teve como objetivo descrever a assistência prestada em planejamento familiar segundo as mulheres em idade fértil e os profissionais de saúde do Núcleo de Saúde de Família I no município de Ribeirão Preto, São Paulo. Trata-se de um estudo descritivo, com abordagem quantitativa. A amostra foi composta por 242 mulheres em idade fértil cadastradas no Núcleo de Saúde da Família I e por 11 profissionais de saúde que atuavam neste serviço. Os dados foram coletados através de entrevistas estruturadas em domicilio e no serviço de saúde. A estatística descritiva e os testes quiquadrado de Pearson ou Exato de Fisher foram utilizados para a análise dos dados. Os resultados revelam que a maioria das mulheres (69,8%) utiliza o Núcleo de Saúde da Família I para segmento de saúde, possuem em média 32,6 anos, são casadas (43%), possuem vida sexual ativa (65,7%), já engravidaram sem planejar utilizando métodos contraceptivos (46,2%), utilizam métodos contraceptivos para o controle da fecundidade (66,5%), sendo a pílula e o preservativo masculino os mais conhecidos e utilizados, já suspenderam o uso de métodos contraceptivos sem orientação médica (57,8%). O Núcleo de Saúde da Família I não se constituiu em local de orientação para 51,2% das mulheres sobre planejamento familiar, bem como para homens e adolescentes. As mulheres recebem orientações sobre planejamento familiar de forma individual (90,1%), há pouca utilização de material ilustrativo durante as orientações (38,7%), A mulheres utilizam os métodos contraceptivos mais orientados e oferecidos pelos profissionais de saúde, recebem acompanhamento clínico (75,6%). O conhecimento das mulheres, sobre as principais características dos métodos contraceptivos, está associado ao método em uso. Há orientação para o uso de preservativo masculino visando prevenir DST/HIV, porém este método é pouco utilizado. Os profissionais de saúde estão formados, em média, há 13 anos, atuam, em média, há quatro anos e nove meses no Núcleo de Saúde da Família I e atuam, em média, há sete anos em planejamento familiar e a maioria não recebeu capacitação em planejamento familiar. Atividades de orientação em grupo são desenvolvidas esporadicamente. Os métodos contraceptivos mais eficazes são os mais orientados e oferecidos para as mulheres pelos profissionais de saúde. Concluímos que a informação sobre os diversos métodos contraceptivos e a escolha livre não é realidade das mulheres do Núcleo de Saúde da Família I, já que utilizam os métodos contraceptivos mais orientados e oferecidos pelos profissionais de saúde. A falta de capacitação profissional, assim como as ações educativas descontinuas e pouco concretizadas, colocam em risco a saúde reprodutiva e sexual das mulheres. A assistência em planejamento familiar apresenta-se deficitária, necessitando de adequação com vistas a uma assistência de qualidade na perspectiva dos direitos reprodutivos e sexuais.Family planning is a health action that permits regulating fecundity and is part of Basic Health Care services. The quality of family planning care is essential for reproductive and sexual health ratios, in which the offering and free choice of contraceptive methods and the information given to clients are fundamental elements to guarantee care quality. This study aimed to describe family planning care delivery according to women of fertile age and health professionals at Family Health Center I in Ribeirão Preto, São Paulo. This is a descriptive study with a quantitative approach. The sample was composed of 242 women of fertile age registered at Family Health Center I and 11 health professionals working at this service. Data were collected through structured interviews held at home and at the health service. Descriptive statistics and Pearsons Chi-Square or Fishers Exact test were used for data analysis. The results reveal that most women (69.8%) use Family Health Center I for the health segment. Their average age is 32.6 years; they are married (43%); have an active sexual life (65.7%); have already been pregnant without planning to use contraceptive methods (46.2%); use contraceptive methods for fecundity control (66,5%), with the pill and the male condom as the most known and used methods; have already suspended the use of contraceptive methods without medical advice (57.8%). The Health Service under analysis did not represent a place of family planning advice for 51.2% of the women, nor for men and adolescents. The women receive individual advice about family planning (90.1%) and little illustration material is used during the advice sessions (38.7%). They use the contraceptive methods that are most indicated and offered by health professionals, and receive clinical follow-up (75.6%). The womens knowledge about the main characteristics of the contrace3ptive methods is associated with the method they are using. Advice is given about the use of the male condom with a view to preventing STD/HIV, although this method is little used. Average time since graduation for the health professionals is 13 years; they have been working at Family Health Centre I for four years and nine months on the average, have been active in family planning for seven years on the average and most of them did not receive any training on family planning. Group orientation activities occur sporadically. The most effective contraception methods are also those the health professionals indicate and offer most frequently. We conclude that information about the different contraceptive methods and free choice are not a reality for the women in this study, as they use the contraceptive methods that are most indicated and offered by the health professionals. The lack of professional training, as well as discontinued and not very concrete education actions put the reproductive and sexual health of these women at risk. Deficits in family planning care are found, demanding adaptation with a view to offering high-quality care from the perspective of reproductive and sexual rights.
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Mariano, Silvana Aparecida. "Feminismo, Estado e proteção social : a cidadania das mulheres pobres." [s.n.], 2008. http://repositorio.unicamp.br/jspui/handle/REPOSIP/280666.
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Orientador: Maria Lygia Quartim de MoraesTese (doutorado) - Universidade Estadual de Campinas, Instituto de Filosofia e Ciencias Humanas
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Resumo: O processo de globalização do capital e suas conseqüências para o Estado nacional atuam no sentido de produzir seres humanos descartáveis para a atual ordem econômica. Com a precarização das relações de trabalho e a perda de proteção social por esse mecanismo, a assistência social assiste diariamente ao crescimento do público que demanda benefícios assistenciais. Essas mudanças da ordem econômica, com efeitos políticos e sociais, redefine a chamada ¿questão social¿. Uma estratégia que passa a ser utilizada largamente em resposta a esse contexto é a revalorização da família, na esteira da inovação da assistência social brasileira por meio da criação de programas de transferência condicionada de renda. Um exemplo é o Programa Bolsa Família (PBF), focalizado, seletivo, com exigências de condicionalidades e transferido a famílias pobres e extremamente pobres, e não a indivíduos. O problema sob investigação neste estudo é compreender se a inclusão das mulheres na política de assistência social, notadamente via PBF, contribui para avanços da cidadania, historicamente negada para a população pobre. O objetivo é compreender a prática encerrada na execução das ações da assistência social, concebendo de modo relacional os comportamentos e condutas de assistentes sociais e usuárias e entendendo que essa relação é orientada por valores políticos quanto às noções de cidadania, direito, justiça e gênero. A constatação é que os traços que definem a política de assistência social e o PBF são fatores que impõem obstáculos para a efetivação da cidadania das mulheres pobres. Sem romper com um padrão androcêntrico de organização do Estado, a assistência social, via PBF, aposta no bom desempenho das funções femininas para a realização de seus objetivos estatais e, ao fazê-lo, cria efeitos que dificultam a consolidação da assistência enquanto direito social. Pelo caráter predominantemente qualitativo do trabalho, este é um estudo de caso que foi realizado em Londrina, estado do Paraná
Abstract: The capital globalization process and its consequences for the national State act towards producing disposable human beings for the current economical order. With the precariousness of work relations and the loss of social protection due to this mechanism, social services watch daily the increase in the number of people who demand assistance. These economical changes, with political and social effects, redefine the so-called ¿social issue¿. A strategy that has been widely used in response to this context is the family revaluation, following the steps of the innovation of the Brazilian social services by means of the development of conditioned income transference programs. An example of this is the Family Stipend Program (FSP) which is a conditional cash transfer program, providing financial aid to poor and extremely poor families, but not to individuals. The issue analyzed in this study is to understand if the inclusion of women in the social services policy, notably through the FSP, promotes citizenship, historically denied to the poor population. The main purpose of this research is to understand the practice included in the accomplishment of social services actions, idealizing in a relational way, the social workers and users¿ behaviors and conducts, understanding that this relation is guided by political values as to the notions of citizenship, rights, justice and gender. It is observed that the characteristics that define the social services and the FSP policy are factors that hinder the effectuation of the poor women¿s citizenship. Without disrupting with the State male-centered pattern of organization, social services, through the FSP, trusts in the good performance of the women¿s duties for the accomplishment of their state purposes and, by doing it, creates effects that hinder the assistance consolidation while a social right. As for the predominantly qualitative aspect of the work, this is a case study that was carried out in Londrina, State of Paraná
Doutorado
Doutor em Sociologia
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Martins, Ariana Siqueira Rossi. "Perfil social das pessoas com hipertensão arterial sistêmica atendidas no Programa de Saúde da Família /." Franca : [s.n.], 2008. http://hdl.handle.net/11449/98516.
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Orientador: Íris Fenner BertaniBanca: Regina Maura Rezende
Banca: Cirlene Aparecida Hilário da Silva Oliveira
Resumo: A estratégia Programa Saúde da Família (PSF) tem avançado no Brasil, por meio da mudança de conceito sobre saúde e doença, metodologias empregadas que favorecem a prevenção e promoção da saúde, a facilidade de acesso, o vínculo entre equipe e comunidade e os canais de desenvolvimento de cidadania. O trabalho das Equipes de Saúde da Família (ESF) é voltado para o cuidado integral das pessoas, ou seja, a atenção à saúde desde a criança até a pessoa idosa, como também, o estudo do contexto de vida que as rege, como por exemplo, as questões de epidemiologia e saneamento básico. Uma das ações desenvolvidas pelas ESF é a atenção às pessoas portadoras de hipertensão arterial sistêmica (HAS), promovendo a prevenção secundária, aquela que evita o surgimento de agravos da doença. Esse trabalho é realizado por meio de grupos sócio-educativos, da clínica tradicional (consulta médica) e orientações dos agentes comunitários de saúde (ACS). O objetivo deste trabalho compreende em conhecer, por amostragem, o perfil da população portadora de HAS atendida nas ESF. Este objetivo partiu do contato com o modelo desenvolvido por Green (PRECEDE-PROCEED), que enfatiza a importância de um planejamento contínuo quando se pretende implantar um programa ou atividade de atendimento em serviços de saúde. O que se questiona na proposta do levantamento do perfil, é se de fato as ESF conhecem sua população, e, se os trabalhos desenvolvidos são direcionados para as necessidades das demandas. Talvez esta falta de conhecimento possa explicar a dificuldade de algumas equipes na adesão de seus usuários ao tratamento adequado e contínuo. Diante disto, foi elaborado um questionário com itens como os fatores sócio-demográficos, a composição familiar, situação de trabalho, ambiente residencial, tipo de acesso aos serviços de saúde, entre outros. Os sujeitos escolhidos... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The strategy of Family Health Program (FHP) has advanced in Brazil, through the change of concept on health and disease, methodologies employed to support the health prevention and promotion, the easiness of access, the link between the staff and the community and the channels for citizenship development. The work of the Family Health Staff (FHS) is dedicated to the entirely people care, that is, the health care from the childhood to the elderly, and also, the research of the life context that reign them, for example, issues of epidemiology and sanitation. One of the activities developed by the FHS is the attention to people with hypertension (SAH), promoting the secondary prevention, which avoids the appearance of disease worsening. This work is accomplished by means of socio-educational groups, the traditional clinical (medical consultation) and information from community health agents (CHA). The objective of this paper comprehends in knowing, by sampling, the profile of the population which suffering from HAS attended in the FHP. This goal arose from the contact with the Green's model (PRECEDE-PROCEED), which emphasizes the importance of a continuous planning when you set forth a program or activity of care in the health service. What is questioned in this proposal is weather the FHS knows its population, and if the work is targeted to the needs of the demands. Maybe this lack in knowledge can explain the some team difficulty in having its users adhered to the appropriate and continuous treatment. So, it was elaborated a questionnaire was prepared with items such as socio-demographic factors, family composition, job situation, residential environment, access to health services, among others. The subjects were chosen in the survey were people suffering SAH attended and followed by the FHS from Franca, who agreed to participate through the Term of Free and Informed Consent (TFIC)... (Complete abstract click electronic access below)
Mestre
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Moraes, Daniel Umpierre de. "Associação do treinamento físico estruturado e recomendação de atividade física com o controle glicêmico em pacientes com Diabetes Tipo 2." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2012. http://hdl.handle.net/10183/77208.
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Este estudo buscou avaliar, em um município de médio porte, a adequação da estrutura e dos processos da atenção primária à saúde às orientações disponíveis. Metodologia: Usando um recorte transversal, avaliamos a estrutura, com base nas orientações do Ministério da Saúde, através de entrevistas com as 24 coordenadoras de UBS, e os processos, com base no grau de orientação para APS pelo PCATool-Brasil, através de entrevistas com 98 médicos e enfermeiros. Resultados: Encontramos adequação a uma série de características estruturais e inadequação a outras como, por exemplo, alto número de habitantes por equipe, baixa oferta de consultas, baixa formação profissional para a APS e falta de avaliação sistemática das ações. Da mesma forma, um processo satisfatório em alguns atributos da APS e insatisfatório em acesso de primeiro contato (escore: 3,6) e longitudinalidade (escore: 6,0). Conclusão: A adequação do sistema de saúde de Chapecó implica em ampliar 56 mil consultas médicas/ano, 2 novas UBS, estimular a formação profissional para APS e estimular a avaliação sistemática das ações.This study sought evaluate, in the scenario of a mid-size city, the adequacy of the structure and processes of primary health care (PHC) to the directions avaliable. Methodology: Using a cross-sectional study, we evaluate the structure on the basis of the directions of the Health Ministry, through interviews with 24 the coordinators of the Health Basic Units (HBU), and process on the basis of the level measurement for PHC measured by Primary Care Assessment Tool (PCATool-Brazil), through interviews with 98 professional doctors and nurses. Results: We observe accordance with a whole series of structural characteristics directions by the Health Ministry and inadequate to others as, for example, on the high number of inhabitants by team, the low offer of medical consultations, vocational training low for PHC and lack of systematic evaluation of actions. At the same time, it demonstrates a satisfactory process in some attributes of the PHC and unsatisfactory in relation to the first-contact access (score: 3,6) and longitudinality (score: 6,0). Conclusion: The adequacy in Chapecó of the health system, implies enlarge 56 thousand medical consultations/year, 2 new HBU, stimulate vocational training for PHC and encourage the systematic evaluation of actions.
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Silva, Helielze da Cunha Silveira Alves da. "Proposta de sistematização para avaliação da prestação de serviços oferecido por uma equipe Saúde da Família utilizando a escala SERVQUAL." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/18/18156/tde-27032017-094048/.
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A investigação está fundamentada no estudo de satisfação dos usuários quanto ao serviço de saúde prestado pela equipe Saúde da Família (eSF) para analisar as diferenças existentes entre a expectativa e as percepções dos usuários através das cinco dimensões (elementos tangíveis, confiabilidade, empatia, responsividade e segurança) identificando assim, as dimensões com pontuação negativa que ocasiona a abertura do gap 5. O trabalho também requer a aplicação de questionários devidamente estruturado para identificar quais são os gaps (lacunas)1, 2, 3 e 4 existentes dentro da Unidade Saúde da Família (USF) avaliando os profissionais que compõem a eSF, para que seja possível diminuir o gap 5. O objetivo do estudo é propor uma sistematização para que seja utilizada por gestores para análise do serviço de saúde prestado pela equipe nas áreas de um município no interior do estado de São Paulo que estão parcialmente cobertas pelo PSF. Neste estudo foi utilizada pesquisa bibliográfica para elaboração da sistematização e uma possível aplicação dos questionários de gaps com os profissionais que compõe a eSF e da escala SERVQUAL com os usuários da USF, analisando as lacunas existentes nestes dois focos de estudo (profissionais responsáveis pela USF e usuários). Como resultado a sistematização é composta por uma seqüência de passos e etapas servirá como suporte para aqueles que tem o interesse em identificar lacunas, verificando quais gaps estão abertos e com isto, a partir dos questionários aplicados verificar o porquê isto ocorre e aplicar uma ação para diminuir estas lacunas identificadas.Para aplicar a escala SERVQUAL e identificação dos gaps foi necessário adequar algumas afirmações para condizer mais próximo da realidade das unidades que foram analisadas. A sistematização tem como intuito avaliar a qualidade da prestação dos serviços de atendimento dos profissionais envolvidos e também a diferença do que os usuários esperam e percebem com relação ao atendimento, buscando preencher o viés teórico e prático.The research is based on the study of the users\' satisfaction with the health service provided by a Family Health Team (eSF) to analyze the differences between users\' expectations and perceptions through the five dimensions (the tangible aspects, reliability, empathy, responsiveness and safety) thus identifying the dimensions with negative score causing the gap 5. The project requests a survey properly structured to identify what are the gaps 1, 2, 3 e 4 existing within Family Health Unit (USF) evaluating the professionals who make up the eSF in order to be possible to decrease the gap 5. The study\'s objective is to create a sistematization to be used by managers to analise the health service provided by the team in the areas of a municipality in the countryside of the state of São Paulo that is partially covered by the PSF. On this study was used bibliografic research to the elaboration of systematization and a possible application of gaps surveys with professionals that make up the eSF and SERVQUAL scale with USF\'s users, analyzing the existing gaps in these two foci areas (professionals responsible for the USF and users). As a result the sistematization is compose of a sequence of steps that will serve like a support for those who have interest to identify gaps, checking what gaps are open and, from the surveys applied verify why these occur and apply an action to decrease these gaps. To apply the SERVQUAL scale and the identification of gaps was necessary to adapt some affirmations in order to better suit the reality of the units analyzed. The sistematization is intended to evaluate the quality of the service provided by the professionals involved and also the difference of what users expect and receive from their attendance, looking to fill the theoretical and practical bias.
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Vitória, Angela Moreira. "Avaliação da estrutura e dos processos na Atenção Primária à Saúde em Chapecó : um estudo de adequação." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2012. http://hdl.handle.net/10183/77232.
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Este estudo buscou avaliar, em um município de médio porte, a adequação da estrutura e dos processos da atenção primária à saúde às orientações disponíveis. Metodologia: Usando um recorte transversal, avaliamos a estrutura, com base nas orientações do Ministério da Saúde, através de entrevistas com as 24 coordenadoras de UBS, e os processos, com base no grau de orientação para APS pelo PCATool-Brasil, através de entrevistas com 98 médicos e enfermeiros. Resultados: Encontramos adequação a uma série de características estruturais e inadequação a outras como, por exemplo, alto número de habitantes por equipe, baixa oferta de consultas, baixa formação profissional para a APS e falta de avaliação sistemática das ações. Da mesma forma, um processo satisfatório em alguns atributos da APS e insatisfatório em acesso de primeiro contato (escore: 3,6) e longitudinalidade (escore: 6,0). Conclusão: A adequação do sistema de saúde de Chapecó implica em ampliar 56 mil consultas médicas/ano, 2 novas UBS, estimular a formação profissional para APS e estimular a avaliação sistemática das ações.This study sought evaluate, in the scenario of a mid-size city, the adequacy of the structure and processes of primary health care (PHC) to the directions avaliable. Methodology: Using a cross-sectional study, we evaluate the structure on the basis of the directions of the Health Ministry, through interviews with 24 the coordinators of the Health Basic Units (HBU), and process on the basis of the level measurement for PHC measured by Primary Care Assessment Tool (PCATool-Brazil), through interviews with 98 professional doctors and nurses. Results: We observe accordance with a whole series of structural characteristics directions by the Health Ministry and inadequate to others as, for example, on the high number of inhabitants by team, the low offer of medical consultations, vocational training low for PHC and lack of systematic evaluation of actions. At the same time, it demonstrates a satisfactory process in some attributes of the PHC and unsatisfactory in relation to the first-contact access (score: 3,6) and longitudinality (score: 6,0). Conclusion: The adequacy in Chapecó of the health system, implies enlarge 56 thousand medical consultations/year, 2 new HBU, stimulate vocational training for PHC and encourage the systematic evaluation of actions.
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Huskey, Michael G. "Evaluation of Program Effectiveness: a Look at the Bedford Police Department’s Strategy Towards Repeat Victimization in Domestic Violence and Mental Health." Thesis, University of North Texas, 2014. https://digital.library.unt.edu/ark:/67531/metadc699900/.
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The primary goal of this study was to evaluate the effectiveness of a program being run by the Bedford Police Department’s Repeat Victimization Unit on domestic violence and mental health and mental retardation. The study sought to determine whether the program was effective in reducing instances of repeat victimization in domestic violence and MHMR victims. Additionally the program investigated whether or not the program was effective at reducing victimization severity, and which demographic could be identified as the most victimized. Participants consisted of 157 domestic violence and MHMR victims in the city of Bedford, Tx between November 11, 2012 to July 30, 2013. Findings indicate that levels of repeat victimization for domestic violence and MHMR are relatively low regardless of whether the victim received services through the repeat victimization program or not. Additionally the severity of these repeat victimizations remains relatively constant regardless of whether services were received through the program or not. Implications and findings are discussed.
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Martins, Pollyana. "AnÃlise do processo de trabalho das equipes de saÃde bucal na microrregiÃo de sobral e sua relaÃÃo com os atributos da atenÃÃo primaria a saÃde." Universidade Federal do CearÃ, 2012. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=10191.
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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel SuperiorEsta dissertaÃÃo analisa o processo de trabalho das Equipes de SaÃde Bucal (ESB), na AtenÃÃo PrimÃria à SaÃde (APS) da 11 RegiÃo de SaÃde (RS) de Sobral, CearÃ, e sua relaÃÃo com os atributos da APS. Utilizou-se questÃes adaptadas do Instrumento de AvaliaÃÃo da APS (PCATool), versÃo profissionais, e questÃes abertas. AnÃlises de correlaÃÃo utilizando testes estatÃsticos verificaram associaÃÃo entre as variÃveis. O mÃtodo de anÃlise de conteÃdo temÃtica foi aplicado nas perguntas abertas. O questionÃrio foi respondido por 91 CirurgiÃes-Dentistas (CD) e a taxa de nÃo resposta e recusas foi de 12,8%. Os atributos coordenaÃÃo do cuidado e orientaÃÃo familiar apresentaram alto escore geral (> 6,6) em todos os portes populacionais. A orientaÃÃo comunitÃria e competÃncia cultural apresentaram escore prÃximo ao ideal. Os atributos da longitudinalidade e acesso apresentaram baixos escores gerais (< 6,6). O acesso obteve o menor escore mÃdio em relaÃÃo a todos os atributos da APS. Todos os tipos de porte populacional apresentaram baixo escore geral para APS. Observou-se associaÃÃo positiva entre o porte populacional dos municÃpios, a presenÃa de cadastro dos pacientes, a realizaÃÃo de visitas domiciliares e a flexibilidade dos horÃrios de atendimento das ESB. A empregabilidade, atravÃs de vÃnculos formais, apresentou-se positivamente associada ao tempo de permanÃncia na mesma equipe, e negativamente associada ao porte populacional. A especializaÃÃo em SaÃde da FamÃlia esteve positivamente associada ao tempo de trabalho dos CD na APS. A programaÃÃo da demanda foi mais presente nas ESB de municÃpios acima de 20.000 habitantes. Os grupos mais priorizados entre as ESB, que apresentam algum tipo de programaÃÃo de demanda, foram os de gestantes, crianÃas, adultos e idosos. A maioria das ESB (86%) realiza procedimentos clÃnicos bÃsicos, entretanto, a realizaÃÃo de outras atividades, como visitas domiciliares e instalaÃÃo de prÃteses totais estÃo em fase inicial de implantaÃÃo. A garantia de atendimento à demanda espontÃnea e tambÃm a realizaÃÃo de aÃÃes programÃticas ainda se constituem como desafios para as ESB. A mudanÃa das prÃticas no processo de trabalho das ESB està em processo incipiente, entretanto, verificou-se uma maior sistematizaÃÃo destas aÃÃes em municÃpios de grande porte.
The objective of this study was to analyze the process of work of the Oral Health Teams (OHT), at the Primary Health Care (PHC) in 11th Region Health of Sobral city, Cearà state, Brazil, and OHT in relation to the attributes of the PHC. For data collection, questions adapted from the Assessment Instrument PHC (PCATool), professional version and subjective questions. Statistical tests analyzed the association between the variables. The method of thematic content analysis was applied to the subjective questions. The questionnaire was answered by 91 dentists and the non-response rate and refusals was 12.8%.The coordination of care and family counseling had a high overall score (> 6.6) in all population sizes. A community orientation and cultural competence scores were close to ideal. The acess and the longitudinality attribute reached low overall score (<6.6). The Access had the lowest average score in all population sizes and for all the attributes of the PHC. All types of population size had low overall score for PHC. There was a positive association between population size of cities, the presence of registration of patients, carrying out home visits and flexibility in opening hours of the OHT. The Employability, through formal links, presented positive association with length of stay on the same team, and negative association with population size of cities.The graduate in Family Health was positively associated with the working time of the dentist in the PHC. The demand schedule was more present in the OHT at cities above 20,000 inhabitants.The groups prioritized between the OHT, which have some kind of demand schedule, were the pregnant women, children, adults and elderlies. Most of the OHT (86%) perform basic clinical procedures, however, carrying out other activities such as home visits and installation of complete dentures are in early stages of deployment. ensure care for patients seeking health services and to priorizite groups for Oral attention are challenges for OHT. The practices changing in the work process of the OHT are in incipient process, however, it was found that a greater systematization of these actions in big cities.The use of PCATool allowed opportunity to examine the presence and extent of the attributes of the PHC in the working process of the OHT, and as a method for obtaining information on the direction and performance of oral health services in the PHC.
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Kolling, João Henrique Godinho. "Orientação à atenção primária à saúde das equipes de saúde da família nos municípios do projeto Telessaúde RS : estudo de linha de base." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2008. http://hdl.handle.net/10183/16375.
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A efetividade da Estratégia Saúde da Família (ESF) está demonstrada em grandes municípios quanto ao processo de cuidado e impacto em saúde, mas pouco se estudou sobre sua qualidade em pequenos municípios ou como ela é influenciada pela presença de hospitais ou de equipes com modelo de Atenção Básica (AB) tradicional em conjunto com a ESF no mesmo local. O presente estudo avaliou a percepção de médicos e enfermeiros de 100 equipes da ESF sobre a qualidade do processo de cuidado e as características de suas Unidades Básicas de Saúde (UBS) em 32 municípios do interior do Rio Grande do Sul participantes do Projeto Telessaúde RS. A análise das 77 UBS onde se localizavam as 100 equipes da ESF mostrou mediana de 2800 habitantes e média de 1,7 médicos por equipe da ESF, presença de profissionais de outras áreas da saúde de nível superior em 71% das UBS e AB tradicional ou hospitais junto a 20% das unidades. A partir do instrumento PCATool-Brasil foram construídos escores de orientação do cuidado aos atributos da Atenção Primária à Saúde. Entre os 195 profissionais, 71% atribuíram aos seus serviços um alto escore de APS (>=6,6/10). A percepção de capacitação nas habilidades específicas da APS incluindo trabalho multidisciplinar, visita domiciliar, abordagem familiar e comunitária estiveram estatisticamente associados com alto escore de orientação para APS (p<0,05).. A disponibilização e avaliação de programas de treinamento em habilidades específicas da APS podem ser úteis para atingir-se maior orientação de profissionais ao padrão-ouro de cuidado em APS.The Family Health Strategy (FHS) effectiveness was already demonstrated in large municipalities in Brazil and both health processes and impacts were tested. Nevertheless, there are few studies that focus on the quality of FHS teams in small municipalities and the way they are affected by the presence of the "Basic Attention" traditional model of care or hospitals. This study focus on the perceptions of 195 FHS physicians and nurses from the countryside of Rio Grande do Sul state about their Primary Health Care (PHC) services organization and performance in 32 municipalities participating in Telehealth RS Project. Looking at the 77 PHC services (total of 100 FHS teams), it was found the median of 2.800 people and the mean of 1.7 physicians per ESF team. There were other graduated health professionals besides physicians, nurses and dentists in 71% of the FHS teams. The Basic Attention traditional services or hospitals were in the same place as the FHS team in 20% of the PHC services. The Primary Care Assessment Tool-Brazil was applied to physicians and nurses. According to these professionals, 72% of PHC services obtained scores higher than 6.6/10. Their self perception of their ability to work in teams with different professionals, to do home visits, to work with educational or therapeutic groups, to work with familiar and community approaches were statistically associated with higher Primary Care Assessment Tool score. The availability and assessment of training programs regarding PHC specific abilities may be useful for the FHS workers to reach the golden standard level of PHC.
Teleducação
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Kolling, Ana Francisca. "Perfil epidemiológico da mortalidade infantil no município de Sapiranga, RS, entre 2006 e 2009." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2011. http://hdl.handle.net/10183/39648.
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Sapiranga integrou uma lista de municípios do Rio Grande do Sul com as maiores taxas de mortalidade infantil em 2007. Para entender porque a mortalidade infantil foi elevada, realizou-se um estudo descritivo sobre esta mortalidade no município de 2006 a 2009, enfatizando o caráter de evitabilidade dos óbitos. Foram utilizados dados das Declarações de Nascido Vivo, Declarações de Óbito e Fichas de Investigação de Óbito Infantil. No período, nasceram 4742 crianças e 53 morreram, correspondendo a uma taxa de mortalidade infantil de 11,1 por mil, semelhante à do estado, mas sem tendência de declínio. Causas evitáveis foram responsáveis por 83% dos óbitos, sendo 34% redutíveis por controle na gravidez, 24% por ações de prevenção, diagnóstico e tratamento precoces, 19% por parcerias com outros setores e 6% por atenção ao parto. Apenas 11% foram por causas não evitáveis. Isso sugere a necessidade de o município expandir e melhorar a assistência pré-natal. Pela grande proporção de moradoras de áreas de Unidades de Saúde tradicionais, não foi possível avaliar o impacto do Programa de Saúde da Família no perfil da mortalidade infantil no município.Sapiranga joined the list of municipalities in Rio Grande do Sul with higher rates of infant mortality in 2007, we performed a descriptive study on infant mortality in the county from 2006 to 2009, emphasizing the character of avoidable deaths. We used data of the Statement of Live Birth, Death Certificates and Infant Mortality Investigation Forms. During the period, 4742 children were born and 53 died, representing a mortality rate of 11.1 per thousand, similar to the state, but with no tendency to decline. Preventable causes were responsible for 83% of all deaths, 34% reducible by control of pregnancy, 24% by prevention, early diagnosis and treatment actions’, 19% by partnerships with other sectors and 6% for delivery care. Only 11% were due to unavoidable causes. This suggests the need to expand and improve prenatal care. Because of the large proportion of residents in areas of Traditional Health Units, it was not possible to assess the impact of the Family Health Program in the profile of infant mortality in the municipality.